An unusual case of spontaneous intracranial hypotension presenting as meningoencephalitis
Spontaneous intracranial hypotension may present atypically, mimicking infectious meningoencephalitis.In any acute neurological presentation, a preceding history of orthostatic headache should prompt reconsideration of spontaneous intracranial hypotension before performing lumbar puncture.Magnetic resonance imaging meningeal enhancement is nonspecific; careful correlation with clinical features and exclusion of infectious or autoimmune causes are essential for accurate diagnosis.
Authors
- Mariana Dias (ORCID: https://orcid.org/0000-0002-7561-9014)
- João Madeira Lopes (ORCID: https://orcid.org/0000-0002-1194-4483)
- Hélder Diogo Gonçalves (ORCID: https://orcid.org/0000-0003-4908-2986)
- S. Teixeira (ORCID: https://orcid.org/0009-0003-9164-7319)
- Ana Melício (ORCID: https://orcid.org/0009-0003-5386-6684)
Institutions
- University of Lisbon (PT)
- Hospital de Santa Maria (PT)
Publication Details
- Journal
- European Journal of Case Reports in Internal Medicine
- Published
- 2025-11-07
- DOI
- https://doi.org/10.12890/2025_005900
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00